Why this was flagged
Medicare paid far more per patient than peers
In 2021 this provider was paid $22,261 per patient, against a typical $11,554 for the same kind of provider in FL. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source Medicare Hospice Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · c311f7
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Owner is tied to 65 providers
An owner or managing party of this provider (JOHN CHARLES GARBARINO) is listed on 65 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d
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Owners and managing parties of record
BRISTOL HOSPICE HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Oct 24, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BRISTOL ULTIMATE HOLDCO, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 20, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BRISTOL HOSPICE, L.L.C.
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 15, 2016
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BRISTOL HOSPICE TOPCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Oct 24, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
WEBSTER EQUITY PARTNERS BRISTOL CF LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 69.8% ownership · since Jan 20, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
AWARE SUPER PTY, LTD.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 8.28% ownership · since May 9, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
WEBSTER EQUITY PARTNERS IV BRISTOL CF LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.72% ownership · since May 9, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ALEX EDWARD MAURICIO
CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ALEX EDWARD MAURICIO
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JOHN CHARLES GARBARINO
CORPORATE OFFICER · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JOHN CHARLES GARBARINO
CORPORATE DIRECTOR · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MICHAEL DERRICK
CORPORATE OFFICER · I · 0% ownership · since Dec 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BETTY J BRENNAN
CORPORATE DIRECTOR · I · 0% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
HYRUM KIRTON
CORPORATE DIRECTOR · I · 0% ownership · since Oct 26, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JOSE E BARROS
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Jun 6, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LIANA CALVO FERNANDEZ
W-2 MANAGING EMPLOYEE · I · 0% ownership · since May 8, 2017
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID A MALM
CORPORATE OFFICER · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID A MALM
CORPORATE DIRECTOR · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
Source timeline
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Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | BRISTOL HOSPICE - MIAMI DADE, LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1679011720 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 101558 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 2567722721 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Organisation type | LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Incorporation date | 2016-04-15 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | UT | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 5201 BLUE LAGOON DR, STE 570 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | MIAMI | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | FL | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 33126-2075 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
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